Nursing Concept Analysis

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Adherence: A Concept Analysis
Tiffany Bruno

Adherence: A Concept Analysis The concept of adherence to medication regimens has been an ongoing area of study across medicine, psychology, nursing and pharmacology. First, I think it is important to clarify the difference between compliance and adherence. The term “adherence” implies a more collaborative active role between the patients and their providers whereas compliance implies a passive role to health-care on the part of the patient (Carpenter 2005). The word adhere originated in the 15th century from the Latin “’ad-“ (to) + “haerere” (to stick)” (The American Heritage College Dictionary, 1993, p. 16). Adhere is defined as “to stick fast; remain attached” and/or “to be a devoted follower or supporter” (The American Heritage College Dictionary, 1993, p. 16). Adherence, then, is the “process or condition of adhering” or the “faithful attachment; devotion” (The American Heritage College Dictionary, 1993, p. 16). As a nurse practitioner, it is vitally important that we equip our patients with the proper information and instructions regarding treatment regimens to increase adherence and improve patient outcomes. As a nurse practitioner in the area of oncology, medication adherence to chemotherapy and targeted therapy agents, the need for a thorough understanding of adherence, is heightened due to the complexity surrounding the physiological implications of cancer and the pharmacokinetics of the treatment. Not only do the oral chemotherapy/targeted therapy medications have increased number and severity of side effects, they are likely to have more drug interactions and rigid, precise instructions. Most people understand the importance of taking chemotherapy/targeted therapy drugs as prescribed because of the fear that the word ‘cancer’ evokes. To better understand how to increase medication…...

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